Complaint·April 12, 2024

The Investigation revealed the following: Regarding the allegation: Facility staff failed to properly address bed bugs in the facility. It is alleged that the facility has a bed bug infestation in rooms #321, #312 and #314 and some other rooms on the third floor. On 04/04/24 LPA Gonzalez and Social Worker Azucena Reyes toured the facility and inspected rooms #203, #204, #207 on the 2 nd floor and rooms #312, #314, #334 on the 3 rd floor. LPA Gonzalez found all rooms to be clean and free of any bed bugs. On 04/04/24 LPA Gonzalez assessed the Pest Control Work Order dated 03/29/24. Per interview with Social Worker Azucena Reyes, the resident in room #312 reported bed bugs in their room. Per pest control work orders, pest control was contacted on 03/22/24 and came by to treat the facility on 03/29/24. Per pest control work order, the following rooms were inspected: on the second floor rooms #201 - #212, #214 - #230, and #232 - #234. On the third floor rooms #301 - #305, #307 - #312, #314 - #331, #333 - #335, break room, kitchen, and the laundry room. Inspection revealed a heavy live bed bug infestation found in rooms #225 and #312. Terminix Commercial came in to the facility on 04/12/24 for a follow up service appointment. On 04/12/24 LPA Gonzalez interviewed two Terminix Commercial (pest control company) employees (W1-W2). W1 stated that Terminix came out to treat the facility on 03/29/24 for general pest control services. W1 stated that the facility has a 12-month bi-weekly agreement with Terminix. The treatment plan that they have with the facility is for general pest control treatment only, which does include treatment for bed bugs. W2 alos stated that Terminix came out to treat facility on 03/29/24 for general pest control services. W2 reported that live bed bugs were found in rooms #225 and #312 and treated by Terminix technician on 03/29/24. W2 also confirmed that the treatment plan with the facility does not include treatment for bed bugs. On 04/04/24 LPA Gonzalez interviewed 7 staff members. When LPA Gonzalez asked staff if there was currently a bed bug infestation in this facility, 6 out of 7 staff stated that there is not a bed bug infestation in this facility. When LPA asked staff if a pest control company would come out to treat the facility, 7 out of 7 staff stated that a pest control company had come to treat the facility on 03/29/24. On 04/04/24 LPA Gonzalez interviewed 9 residents. LPA Gonzalez asked residents if there’s been any issues with a bed bug infestation in this facility. 3 out of 9 residents interviewed stated there is a bed bug infestation in this facility. When LPA Gonzalez asked residents if they like living in this facility 7 out 9 residents interviewed stated they are very comfortable and like living in this facility. When LPA asked residents how they felt about the overall cleanliness of the facility, 7 out of 9 residents interviewed stated that it’s ok, and they like it. Continued on LIC9099-C Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegation is found to be SUBSTANTIATED. Regarding the allegation: Facility is failing to provide a safe means of evacuating resident. It is alleged that there are non-ambulatory residents in room(s) on the 3 rd floor of the facility. There is a concern that in case of an emergency it would be hard for residents to evacuate the facility. On 04/04/24 LPA Gonzalez interviewed 7 (S1-S7). LPA Gonzalez asked if they (staff) feel that they are trained on the emergency evacuation plan, 6 out of 7 staff interviewed stated that they feel they are trained in the facilities emergency evacuation plan. On 04/04/24 LPA Gonzalez interviewed 9 residents (R1-R9). LPA Gonzalez asked if they feel that this facility is prepared and ready to assist residents to evacuate safely if an emergency were to occur. 5 out of 9 residents interviewed stated that they feel the facility is prepared and ready to assist residents to evacuate safely if an emergency were to occur. When LPA Gonzalez asked residents if the facility conducts emergency evacuation drills, 6 out of 9 residents interviewed said that the facility does not conduct emergency evacuation drills. On 04/04/24 records reviewed revealed the facility has a fire clearance (dated: 03/21/23) for a capacity of 136 non-ambulatory residents. LPA Elvira Gonzalez assessed the Disaster Drill Reports received, which states that an emergency evacuation drill was practiced on the following dates: 01/17/24, 02/22/24, and on 03/24/24. Furthermore, on 04/04/24 LPA Gonzalez toured the facility focusing on the facilities emergency stairwell exits. LPA Gonzalez did not observe an evacuation chair at each stairwell. Each floor has 2 stairwell emergency exits, 2 on the 2 nd floor and 2 on the 3 rd floor. LPA Gonzalez observed the 3rd floor stairwells had emergency evacuation chairs on both stairwells, and the 2nd floor did not have emergency evacuation chairs at either of the 2 stairwell exits. Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegation is found to be SUBSTANTIATED. Continued on LIC9099-C Deficiencies are being cited based on LPA interviews, observations, and records review in accordance with the California Code of Regulations, Title 22, see LIC809D. An exit interview was conducted, plans of corrections were reviewed and developed. A copy of this report and appeal rights left with Azucena Reyes, Social Worker.